Men without a wife, who care children under the age of 14, adopted children

Fathers without wives, under the tutelage of which there are three children under the age of 14, adopted children

Yes

No

Personal documents:

Document

Series of document

Identity card

Passport

Driving license

Military book

Labor book

Card of social insurance

Membership in public organisations

Can someone in the Zeytun Pharm Company give recommendations about you?

1

Name/Surname

Position

2

Name/Surname

Position

Conviction:

Do you have conviction?

Yes

No

Does any body of relatives have a conviction?

Yes

No

Notes: The employee, in case of hiring, is legally responsible in accordance with the legislation of the Republic of Azerbaijan, the Labor Code and internal regulations.

You are also responsible for the accuracy of the information provided. All data on employment are checked by the company when hiring. Provision of false information can be regarded as a reason for refusal to admit or discharge from work.

I confirm the authenticity of all this information with my signature, and I do not have any complaint that the company"s management has familiarized with the completed form.